Oral Biol Res.  2019 Sep;43(3):236-242. 10.21851/obr.43.03.201909.236.

Treatment of horizontal root-fractured maxillary incisors

• Choi SH
• Yoon JH
• Lee BN
• Chang HS
• Hwang IN
• Oh WM
• Hwang YC

• KMID: 2465845
• DOI: http://doi.org/10.21851/obr.43.03.201909.236

Abstract

Root fractures are defined as fractures that involve the dentin, cementum, and pulp, resulting in stretching or laceration of the pulp and/or periodontal ligament injury (rupture or compression). Two cases of horizontal root-fractured maxillary incisors are introduced in the present report. The first case is a middle third root-fractured maxillary incisor with root canal therapy in the coronal fragment, and the second case is a cervical third root-fractured maxillary incisor without root canal therapy. Both cases showed favorable results with a long-term follow-up period. In all traumatic injuries, early diagnosis and appropriate intervention dramatically enhance the outcome. The primary purpose of the treatment of root-fractured teeth is to maintain the vitality of the teeth. After an adequate observation period, if vitality control reveals non-vital pulp tissue, or if the patient complains of pain or discomfort in the tooth, endodontic therapy can be performed, usually to the coronal segment only.

Keyword

Emergency; Injury; Root canal therapy; Tooth fracture; Trauma

MeSH Terms

Dental Cementum
Dentin
Early Diagnosis
Emergencies
Follow-Up Studies
Humans
Incisor*
Lacerations
Periodontal Ligament
Root Canal Therapy
Tooth
Tooth Fractures